Evidence map›Paper›PMID 36864784›Full record

ArticleNeuro-oncology2023

Polio virotherapy targets the malignant glioma myeloid infiltrate with diffuse microglia activation engulfing the CNS.

Yuanfan Yang, Michael C Brown, Gao Zhang, Kevin Stevenson, Malte Mohme, Reb Kornahrens, Darell D Bigner, David M Ashley, Giselle Y López, Matthias Gromeier

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 18 citations in OpenAlex.

  1. Immunotherapy for Glioma: A compartmental framework for resistance and rational combination design.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  2. Article
  3. Review
  4. Viral Microglia Reprogramming Clears Oligomeric Neurotoxic Debris.bioRxiv : the preprint server for biology · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Polio virotherapy provokes MDA5 signaling and CD4Microbiology and molecular biology reviews : MMBR · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Intratumor childhood vaccine-specific CD4Journal for immunotherapy of cancer · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Yuanfan YangDepartment of Pathology, Duke University School of Medicine, Durham, North Carolina, USA.
Michael C BrownDepartment of Neurosurgery, Duke University Medical School, Durham, NC, USA.
Gao ZhangDepartment of Pathology, Duke University School of Medicine, Durham, North Carolina, USA.
Kevin StevensonDepartment of Neurosurgery, Duke University Medical School, Durham, NC, USA.
Malte MohmeDepartment of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Reb KornahrensDepartment of Neurosurgery, Duke University Medical School, Durham, NC, USA.
Darell D BignerDepartment of Pathology, Duke University School of Medicine, Durham, North Carolina, USA.
David M AshleyDepartment of Neurosurgery, Duke University Medical School, Durham, NC, USA.
Giselle Y LópezDepartment of Pathology, Duke University School of Medicine, Durham, North Carolina, USA.
Matthias GromeierDepartment of Neurosurgery, Duke University Medical School, Durham, NC, USA.
Duke University · USUniversität Hamburg · DEUniversity of Alabama at Birmingham · US

Funding

Institutional Career Development CoreKL2TR002554 · NCATS · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2018 to 2022
$8.2M
Innate Antiviral Signals for Cancer ImmunotherapyR01NS108773 · NINDS · DUKE UNIVERSITY · PI Matthias Gromeier, Smita K. Nair · 2018 to 2026
$3.3M
Reviving cancer immune surveillance with CD4 T cell helpR00CA263021 · NCI · DUKE UNIVERSITY · PI BROWN, MICHAEL CLAVON · 2022 to 2024
$737k
Cancer Immunotherapy Through Intratumoral Activation of Recall ResponsesF32CA224593 · NCI · DUKE UNIVERSITY · PI BROWN, MICHAEL CLAVON · 2018 to 2020
$187k
Reviving cancer immune surveillance with CD4 T cell helpK99CA263021 · NCI · DUKE UNIVERSITY · PI BROWN, MICHAEL CLAVON · 2021 to 2021
$105k
NCATS NIH HHS KL2 TR002554NCI NIH HHS F32 CA224593NCI NIH HHS K99 CA263021NCI NIH HHS R00 CA263021NINDS NIH HHS R01 NS108773
6 · The paper itself

Abstract

backgroundMalignant gliomas commandeer dense inflammatory infiltrates with glioma-associated macrophages and microglia (GAMM) promoting immune suppression, evasion, and tumor progression. Like all cells in the mononuclear phagocytic system, GAMM constitutively express the poliovirus receptor, CD155. Besides myeloid cells, CD155 is widely upregulated in the neoplastic compartment of malignant gliomas. Intratumor treatment with the highly attenuated rhino:poliovirus chimera, PVSRIPO, yielded long-term survival with durable radiographic responses in patients with recurrent glioblastoma (Desjardins et al. New England Journal of Medicine, 2018). This scenario raises questions about the contributions of myeloid versus neoplastic cells to polio virotherapy of malignant gliomas.

methodsWe investigated PVSRIPO immunotherapy in immunocompetent mouse brain tumor models with blinded, board-certified neuropathologist review, a range of neuropathological, immunohistochemical, and immunofluorescence analyses, and RNAseq of the tumor region.

resultsPVSRIPO treatment caused intense engagement of the GAMM infiltrate associated with substantial, but transient tumor regression. This was accompanied by marked microglia activation and proliferation in normal brain surrounding the tumor, in the ipsilateral hemisphere and extending into the contralateral hemisphere. There was no evidence for lytic infection of malignant cells. PVSRIPO-instigated microglia activation occurred against a backdrop of sustained innate antiviral inflammation, associated with induction of the Programmed Cell Death Ligand 1 (PD-L1) immune checkpoint on GAMM. Combining PVSRIPO with PD1/PD-L1 blockade led to durable remissions.

conclusionsOur work implicates GAMM as active drivers of PVSRIPO-induced antitumor inflammation and reveals profound and widespread neuroinflammatory activation of the brain-resident myeloid compartment by PVSRIPO.

Indexed as

Brain NeoplasmsGliomaOncolytic VirotherapyPoliomyelitisAnimalsB7-H1 AntigenInflammationMiceMicrogliaB7-H1 Antigengliomaimmunotherapyinterferonmacrophagesmicroglia

Identifiers

PMID36864784
PMCPMC10479910
OpenAlexW4323037050

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.